Great River Pain Center LLC
Great River Pain Center LLC is a Pain Medicine Physician in Moline, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1634 Avenue Of The CitiesMoline, IL 61265-4860
Phone: (309) 762-9711
Fax: (309) 762-9747
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence 036118384 (IL) |
|---|
Record details
| NPI number | 1073865291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sanjay Sundar — Owner · (312) 613-9999 |
| NPI enumerated | October 11, 2012 |
| Last updated in NPPES | October 11, 2012 |
| Mailing address | 1634 Avenue Of The Cities, Moline, IL 61265-4860 |